Discover how Swiss health insurance covers fertility treatments such as IVF, ICSI and social freezing and explore financing options for uncovered costs.
Key Facts About Insurance Coverage for Infertility
- Costs for fertility treatments are often calculated per treatment cycle
- Hormone stimulation, IUI and medical freezing are covered by health insurance in Switzerland
- IVF, ICSI and social freezing are currently not covered
- Supplementary insurance offers partial coverage for IVF/ICSI
- Changing health insurance providers might be beneficial for those planning a family
Who Pays for Fertility Treatment in Switzerland?
Which health insurance company contributes to fertility treatments? Couples in Switzerland who wish to have children often face the high costs of fertility treatments. This article provides an overview of how basic health insurance covers these treatments in Switzerland, including which expenses you may need to pay out-of-pocket. You'll also learn how supplementary insurance can offer financial support on your journey.
How much IVF, ICSI, and IUI cost in Switzerland
The costs of infertility treatments can add up quickly. As conception requires a mature egg, which typically develops once a month, treatments are often priced per cycle. If fertilisation attempts, such as those using assisted reproductive technology (ART), are unsuccessful, couples must wait for the next cycle to begin another round of treatment. Consequently, fertility clinics generally quote prices on a per-cycle basis.
The tariffs for different treatment methods vary depending on the fertility clinic (excluding medication):
- Hormone therapy: approx. CHF 500 to CHF 800
- In vitro fertilisation (IVF): approx. CHF 5,000 to CHF 8,000 per treatment cycle
- Intracytoplasmic sperm injection (ICSI): approx. CHF 8,000 to CHF 10,000 per treatment cycle
- Frozen embryo transfer: approx. CHF 2,000 to CHF 3,000 per cycle
- Intrauterine insemination (IUI): approx. CHF 1,000 to CHF 2,000 per treatment cycle
- Egg freezing (for non-medical reasons): approx. CHF 5,000 to CHF 7,000 per treatment cycle
- Preimplantation genetic testing (PGT): approx. CHF 2,000.- CHF bis 5,000.- plus costs for ICSI
The above costs include services starting from the first consultation. The costs for IUI, IVF, ICSI, and Social Freezing will be discussed in detail with you during your initial consultation at our fertility clinic in Zurich.
Additionally, the following services are covered by health insurance:
- Ultrasound examinations to monitor the cycle, ovulation, and follicle maturation (cycle monitoring)
- Semen analysis to assess sperm quality.
Overview of Costs Covered by Basic Insurance
But which costs are covered by compulsory health insurance for which treatments in Switzerland? The following table provides an overview of the services whose costs are (not) covered by basic insurance.
| Service | Covered by basic insurance |
| Counseling and diagnosis | Costs covered in the event of infertility, recurrent miscarriages, and hormonal disorders. |
| Fertility preservation (e.g., medical freezing) | Costs covered before fertility-damaging treatment up to the age of 40. |
| Hormonal stimulation | Cost coverage for hormone therapy for 12 cycles or hormone treatment for one year for women up to the age of 40. |
| IUI with partner's sperm | Cost coverage for three cycles up to the age of 40. Consultation with the health insurance company is nevertheless recommended. |
| IUI with donor sperm | Not covered. Consultation with the health insurance company is nevertheless recommended. |
| IVF | Costs incurred after the initiation of hormone treatment must be covered by the patient. |
| ICSI | Costs incurred after the initiation of hormone treatment must be covered by the patient. |
| Cryopreservation for non-medical reasons (Social Freezing) | No coverage. |
| Preimplantation genetic diagnosis | No coverage. Consultation with the health insurance company is nevertheless recommended. |
Coverage by supplementary insurance
Currently, there are only a few supplementary insurances that contribute to the costs of IVF treatment under certain conditions. They may cover the costs of additional IUI treatments that are not covered by basic insurance and 75% of the costs for IVF/ICSI treatments, with a maximum reimbursement of CHF 12,000.
There is a waiting period of 24 months, meaning the supplementary insurance will only cover costs if you have had it for at least 24 months.
If you or your partner already know that your chances of success with insemination are low due to a reproductive restriction, your chances of being accepted for supplementary insurance are slim. Additionally, if you have already undergone in vitro fertilization or intracytoplasmic sperm injection, you cannot take out this supplementary insurance.
Think about changing health insurance early on
It's worth considering family planning and possibly changing your health insurance provider early. If there's a chance you'll start a family next year, you might want to adjust your deductible. In Switzerland, pregnancies aren't typically life-threatening, but there is a higher risk of increased medical visits, check-ups or operations (e.g., in the case of miscarriages), which basic insurance may not fully cover.
A change in your health insurance premium might prompt you to switch your basic insurance. Remember, the switching period is only valid until the end of November each year. After November 30, you'll be tied to your current basic insurance for another year.
It might be beneficial to change your supplementary insurance if you want a fitness subscription for your (reproductive) health or if you're interested in alternative medicine services or pregnancy massages. Some supplementary insurances contribute to these costs.
If you're considering changing your supplementary insurance, check the change deadline as soon as possible. You can find this in your policy. Note: Some supplementary insurance policies require cancellation by the end of September, not November, as is the case with basic insurance.
If it's realistic for you to start a family in about two years and you want financial security, consider a supplementary insurance today. Supplementary insurances only starts covering all or part of fertility treatment costs after a 24-month waiting period.
Employer Benefits for Fertility Care
In addition to basic and supplementary insurance, some employers in Switzerland and abroad offer fertility-related benefits as part of their employee health benefits. These benefits may include partial or full coverage for treatments such as IVF, ICSI, IUI, or fertility preservation (e.g., egg or sperm freezing). Larger multinational companies, particularly in the tech, finance, and pharmaceutical sectors, are increasingly adding fertility care to their HR benefits to attract and retain talent.
If you’re employed, it’s worth asking your HR department whether your company offers such benefits. Even if there is no official “fertility insurance” program in place, some employers provide lump-sum allowances for medical treatments, which can be applied to fertility-related expenses.
Switzerland compared to the EU
According to an OECD report, the Swiss healthcare system is among the best in the world. Switzerland excels in high life expectancy and relatively short waiting times for medical specialist appointments compared to other countries.
However, Switzerland performs significantly worse in providing financial support for couples struggling with infertility. Although infertility is classified as a disease by the World Health Organization, basic insurers in Switzerland do not cover IVF treatment. The situation is different abroad: In Ireland, the Minister of Health announced in July 2023 that the state will cover the costs of three IUI cycles and one IVF cycle. This has long been standard practice in Germany. France leads in financial support for reproductive medicine methods, with the state covering the entire cost of up to six IVF cycles for women under 43.
The limited financial support from Swiss health insurance companies leads some Swiss women to seek fertility treatment abroad, where costs are usually lower.
Takeaway: Supplementary Insurance May Be Worth Considering
While Switzerland doesn’t have a standalone fertility insurance policy, understanding how basic and supplementary plans work can help you reduce out-of-pocket costs and plan ahead for your treatment journey.
It's best to start considering your family-building goals today. Think about whether it's worth changing your deductible and your basic insurance provider. Whether you currently have a partner or not, if you plan to start a family in about two years, consider taking out supplementary insurance. It's generally worthwhile to check if the supplementary insurance includes fertility-enhancing benefits (e.g., fitness subscriptions). Find out about the switching periods for your supplementary insurance in advance.
Although Swiss health insurance companies rarely cover fertility treatments, you should always inquire and clarify which services are covered, even with your supplementary insurance.
FAQ on Infertility Coverage
Who covers the costs of fertility treatment in Switzerland?
In Switzerland, basic health insurance only covers part of the costs. Medical fertility assessments, such as hormone analyses or ultrasound examinations, are usually covered (depending on your deductible) – as are treatments for organic causes (e.g., removal of fibroids or endometriosis lesions). The costs for IVF or ICSI, however, are not covered by basic insurance. Some supplementary insurance plans do offer partial coverage – so it’s worth checking your policy or asking your provider directly.
Is treatment covered in the case of recurrent miscarriages?
Yes. If a medical cause is suspected or confirmed, health insurers usually cover diagnostic tests (e.g., coagulation diagnostics, hormone status, genetic testing). Certain therapies – such as luteal phase support – are also partially covered by basic insurance. IVF as a treatment option for recurrent pregnancy loss is not covered, even if there is a medical indication.
What applies to gynecological conditions such as endometriosis or PCOS?
Treatments aimed at relieving symptoms or restoring natural fertility are generally covered by insurance. This includes, for example, surgery for endometriosis, hormone treatments for PCOS, or treatment of thyroid disorders. Pure fertility treatments (such as IVF/ICSI) for an existing underlying condition are not reimbursed.
Are intrauterine inseminations (IUI) covered by basic insurance?
Yes – intrauterine insemination (IUI) with the partner’s sperm is generally covered by basic insurance, up to three cycles per pregnancy, provided the woman has not yet reached the age of 40. After a successful pregnancy, a further three cycles may also be reimbursed.
In certain cases – for example, if sperm quality is poor or no sperm are available – sperm donation may be considered. The costs for artificial insemination with donor sperm (donor insemination) vary depending on the clinic and are generally not covered by basic insurance.
What are the success rates for IUI, IVF, and ICSI?
According to the FIVNAT register, which collects data on all artificial inseminations performed in Switzerland, live birth rates per embryo transfer are around 24%. Success rates vary depending on the woman’s age and causes of infertility. Under optimal conditions, chances can be as high as 40% per cycle. For IUI, the pregnancy rate per cycle is about 10–15%.
What risks should I be aware of?
The main risks include multiple pregnancies, ovarian hyperstimulation syndrome (OHSS), and possible complications from hormone treatment.
How many embryos can be transferred?
In Switzerland, a maximum of two embryos may be transferred into the uterus. This is regulated by the Federal Act on Medically Assisted Reproduction (FMedG) to minimize the risk of multiple pregnancies. The number of embryos to be transferred is determined individually in consultation with your doctor and depends on factors such as the woman’s age and embryo quality.
How many embryos can be frozen?
In Switzerland, a maximum of 12 fertilized eggs or embryos may be frozen as part of an IVF or ICSI treatment.
